| NPI | 1265929350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN229018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NCO-000001) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137550) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-05-17 |